Nelson Essentials of Pediatrics , Seventh Edition by Karen J. Marcdante, MD Robert M. Kliegman, MD

By Karen J. Marcdante, MD Robert M. Kliegman, MD

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Extra info for Nelson Essentials of Pediatrics , Seventh Edition

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The focus of NDT is on gait training and motor development, including daily living skills; perceptual abilities, such as eye-hand coordination; and spatial relationships. Sensory integration therapy is also used by occupational therapists to structure sensory experience from the tactile, proprioceptive, and vestibular systems to allow for adaptive motor responses. Speech-language intervention by a speech and language therapist/pathologist (oral-motor therapist) is usually part of the overall educational program and is based on the tested language strengths and weaknesses of the child.

Early detection allows intervention before the problem becomes entrenched and associated problems develop. The severity of developmental and behavioral problems ranges from variations of normal to problematic responses to stressful situations to frank disorders. The clinician must try to establish the severity and scope of the patient’s symptoms so that appropriate intervention can be planned. Counseling Principles For the child, behavioral change must be learned, not simply imposed. It is easiest to learn when the lesson is simple, clear, and consistent and presented in an atmosphere free of fear or intimidation.

The CDC has approved (in adults) the QuantiFERON-TB Gold Test, which has the advantage of needing one office visit only. Cholesterol Children and adolescents who have a family history of cardiovascular disease or have at least one parent with a high blood cholesterol level are at increased risk of having high blood cholesterol levels as adults and increased risk of coronary heart disease. The American Academy of Pediatrics (AAP) recommends dyslipidemia screening in the context of regular health care for at-risk populations (Table 9-4) by obtaining a fasting lipid profile.

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